先天性心脏病介入治疗患儿父母焦虑与需求的调查研究

Study on anxiety and needs of the parents whose children with congenital heart disease were retreated by the interventional therapy

目的探讨先天性心脏病(CHD)介入治疗患儿父母的焦虑水平、需求的现状、影响其焦虑与需求的因素及焦虑与需求的相关性。方法采用整群抽样的方法对122名准备行CHD介入治疗的患儿父母进行问卷调查。结果①CHD患儿父母的焦虑总分与国内常模比较差异有统计学意义(t=18.41,P<0.001),其影响焦虑的因素主要与患儿是否为独生子女、有无医疗保险、患儿父母亲的身份、文化程度及患儿父母对介入知识的了解程度有关;②影响CHD患儿父母需求的因素主要与患儿父母的文化程度、对介入知识的了解程度及患儿是否为独生子女有关;③CHD患儿父母的焦虑与需求成正相关。结论在临床护理工作中,应关注CHD患儿父母的心理状况和需求,给予患者家属心理指导,满足其需求,从而减轻其焦虑,促进患儿早日康复。

[Objective] To investigate the anxiety level, status of needs in parents whose children with CHD （congenital heart disease） were retreated by the intervenfional therapy. [Methods] Purposive sampling was used to rueruit 122 subjects for this study from 5 tertiary general hospitals in Changsha city. [Results] The total sore of anxiety of parents whose children with CHD higher than the domestic norm （t=18.41, P〈 0.001）. The main factors impacting the parents＂ anxiety are children＇s singleton condition, Children＇s health insurance, the identity of children＂ fathers or mothers, the paretents＂ education level and the level of understanding about the interventinal therapy of the CHD. The main factors affecting needs of parents whose children were suffered CHD included the educational level of parents, the children＇s singleton condition and the level of understanding about the interventinal therapy of the CHD. The need of parents whose children were suffered CHD positive correlation with the anxiety level. [Conclusion] Clinical careworkers should be concerned about the psychological needs of parents of the children with CHD.